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Organization

PRIORITY PROFESSIONAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YANICK LAMOTHE MSW (CLINICIAN)
(978) 496-0107
Entity
Organization

Contact information

Practice address
1613 BLUE HILL AVE, MATTAPAN, MA 02126-2123
(857) 598-4774
Mailing address
1613 BLUE HILL AVE, MATTAPAN, MA 02126-2123
(857) 598-4774

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/29/2010
Last updated
03/29/2010
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